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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1688527

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1. Mr. Derrick F. Van Orden

PO BOX 565
PRAIRIE DU CHIEN, WI 53821

2. Identification Number: H0WI03175

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Wisconsin - 3

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DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2024 election(s).

    Van Orden for Congress
    FEC ID #: C00742007

    PO BOX 565
    PRAIRIE DU CHIEN, WI 53821

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DESIGNATION OF OTHER AUTHORIZED COMMITTEES

8. I hereby designate the following named committee, which is NOT my principal campaign committee, to receive and expend funds on behalf of my candidacy.

    Van Orden for WI-03
    FEC ID #: C00775940

    PO Box 30844
    Bethesda, MD 20824

    Van Orden Victory Fund
    FEC ID #: C00816017

    11972 Grey Oaks Park Rd.
    Glen Allen, VA 23059

    Freshman Agricultural Republican Members Trust AKA Farm Trust
    FEC ID #: C00493783

    PO Box 30844
    Bethesda, MD 20824

    Protect the House 2024
    FEC ID #: C00831925

    PO Box 30844
    Bethesda, MD 20824

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DECLARATION OF INTENT TO EXPEND PERSONAL FUNDS (House or Senate Only)

9. I intend to expend personal funds exceeding the threshold amount (see 11 C.F.R. 400.9) by

    9A. 0.00 for the primary election, and
    9B. 0.00 for the general election

Signed as: Mr. Derrick F. Van Orden
Signed by the candidate on: 02/13/2023

Filed: 02/13/2023

(End FEC FORM 2)

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